[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-110-2-產兒科護理學-070","nurse-110-2-maternal-pediatric-070",110,2,70,"化學治療期間血液檢查結果，絕對嗜中性白血球（absolute neutrophil count, ANC）數目為 320\u002Fmm 3 ，依據檢查結果，下列護理指導何者較適當？",{"A":14,"B":15,"C":16,"D":17},"教導個案 ANC 是確立白血病緩解與否的指標","教導個案 ANC 的正常值會隨著年齡不同而改變","教導個案注意預防感染，需採保護性隔離措施","教導個案可能出現自發性出血，需要限制活動","C",null,[],"本題考點是絕對嗜中性白血球數(ANC)的臨床判讀與護理。考點在於ANC反映抵抗細菌感染的能力，數值320\u002Fmm³代表嚴重嗜中性白血球低下(ANC\u003C500),感染風險極高。選項C教導注意預防感染、採保護性隔離措施，正確對應此檢驗結果，故為答案。A「ANC是確立白血病緩解與否的指標」不當，緩解評估依骨髓芽細胞比例等，非ANC；B「ANC正常值隨年齡改變」非此低值下的護理重點；D「自發性出血需限制活動」對應的是血小板低下而非ANC。故C的防感染指導最適當。","ANC=白血球總數×(節狀+分葉嗜中性球%)。分級:ANC\u003C1500輕度、\u003C1000中度、\u003C500重度嗜中性球低下感染風險最高。保護性(反向)隔離:單人房、限制訪客、避免鮮花生食、手部衛生、監測發燒。發燒性嗜中性球低下(febrile neutropenia)屬腫瘤急症。記憶:嗜中性球低=防感染;血小板低=防出血;紅血球低=防疲累。可連結:化療骨髓抑制最低點(nadir)約給藥後7–14天。",[24,27,30,32],{"term":25,"count":26},"保護性隔離",6,{"term":28,"count":29},"感染預防",3,{"term":31,"count":10},"絕對嗜中性白血球數ANC",{"term":33,"count":34},"嗜中性球低下",1,[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-maternal-pediatric-071","小名，14 歲，因左膝尖銳性疼痛、腫脹入院，醫師診斷為骨肉瘤（osteosarcoma）並進行截肢手術，下列護理措施何者不適當？",71,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-111-2-maternal-pediatric-007","有關我國全民健康保險給付之產前檢查時間，一般孕婦常規接受妊娠糖尿病篩檢的週數為何？",7,111,{"webId":46,"stem":47,"number":48,"year":49,"session":34},"nurse-112-1-maternal-pediatric-021","黃女士 G 2 P 2 ，大寶剛剛滿 2 歲，今天預計出院回家，產婦擔心同時照顧 2 個孩子會心力交瘁，下列何者有關黃女士的親子依附關係出現時，最需要特別關注與持續追蹤？",21,112,{"webId":51,"stem":52,"number":53,"year":54,"session":34},"nurse-113-1-maternal-pediatric-009","有關分娩期預防產後出血的措施，下列何者不適當？",9,113,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-114-2-maternal-pediatric-013","有關親子同室（rooming-in）的敘述，下列何者錯誤？",13,114,{"webId":61,"stem":62,"number":43,"year":63,"session":34},"nurse-106-1-maternal-pediatric-007","陳女士，妊娠 32 週，接受腹部超音波掃描發現胎兒身長體重與 1 個月前相同，估算約為 28 週，胎盤功能正常，所有檢查數值均在正常範圍，但陳女士體重並未增加。對此結果陳女士因焦慮而哭泣，下列何項敘述正確？",106,"2026-09-04",1788510730269]